Extension-type fractures are much more common than flexion-type fractures. The median age is approximately six years. They most frequently occur in children aged 5 to 7 years. The supracondylar region of the distal humerus is the most commonly fractured area around the elbow in children. This creates a point of relative weakness in the supracondylar region of the distal humerus. The distal humerus narrows proximally from metaphysis to diaphysis. The humerus also thins in its anteroposterior width as the medial and lateral columns merge at the proximal aspect of the olecranon fossa. The medial and lateral columns are composed of the trochlea and medial epicondyle medially and the capitellum and lateral epicondyle laterally. The distal humerus is composed of medial and lateral columns. Some patients who develop a malunion may have a satisfactory function in the long-term. Inadequate reduction and fixation can also lead to malunion and deformity. These injuries can be significant due to the risks of neurological damage, vascular injury, and compartment syndrome. The modified Gartland classification is often used to describe fracture patterns and guide treatment. Supracondylar fractures of the humerus account for up to 18% of pediatric fractures overall, and up to 60% of elbow fractures. Children often utilize an outstretched arm as a protective mechanism when falling, creating a high incidence of fractures about the elbow. This activity highlights the role of the interprofessional team in evaluating and improving the care of patients with supracondylar fractures.Įlbow fractures are more common in the pediatric population than in the adult population. Outline the long-term sequelae of these injuries including deformity and remodeling potential.Describe the management of non-displaced and displaced fractures including those with neurovascular compromise.Identify neurovascular injuries associated with supracondylar fractures.Describe the clinical and radiological features of non-displaced and displaced supracondylar fractures.This activity reviews the mechanism of injury, classification, and management of these injuries in the pediatric population and highlights the role of the interprofessional team in evaluating and improving the care of patients with this condition. Supracondylar fractures of humerus are the most common type of elbow fractures in children accounting for up to 60% of elbow fractures.
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